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Latest by San Francisco General Hospital

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How to Use Condoms Correctly

Condoms are like cars: If you have an accident with one, the cause is almost certainly operator error, not mechanical failure. Indeed, the estimated failure rate of latex condoms is between 2% and 5% -- and when a condom does tear during intercourse,...

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Where the Rubber Meets the Road: Tips for Using Condoms

When used correctly, latex and polyurethane condoms stop the spread of HIV almost 100% of the time. Condoms are like cars: If you have an accident with one, the cause is almost certainly operator error, not mechanical failure. The estimated failure r...

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Optimal Medical Management: Entering the Era of Truly Individualized Antiretroviral Therapy

Over the past few years, there has been much speculation and debate about the potential role of drug-level monitoring in the optimal medical management of individuals with HIV infection. In its simplest form, so-called therapeutic drug monitoring, or...

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Optimal Medical Management: Clinical Considerations in Therapeutic Drug Monitoring

Prior to ordering either a drug-level test or a phenotype for any patient, clinicians should evaluate the following

Patient Adherence

Both TDM and phenotyping are predicated on the assumption that the patient is taking all of his doses of all of hi...

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Personal Stories

Trekking With AIDS, Part 3 -- A Special Report

On Wednesday, June 28, 2000 -- the twelfth anniversary of her HIV diagnosis -- Dawn Averitt (center) and her companions Scott Averitt (left) and Brad Bridge (right) walked home to Georgia, having hiked the whole of the Appalachian Trail over the prec...

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Managing the Adverse Effects of Antiretroviral Therapy

Hypersensitivity Reactions Gastrointestinal Effects of Antiretroviral Therapy Pancreatitis Hematologic Effects of Therapy Renal Effects Peripheral Nervous System Effects Central Nervous System Effects Metabolic And Endocrine Effects ...

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Suffer the Children

When Incarnation Children's Center, a pediatric AIDS facility that serves one of New York City's most blighted neighborhoods, Washington Heights, opened in 1989, photographer Claire Yaffa was there. "She simply appeared on my doorstep," says Dr. Step...

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News

Multdrug-Resistant HIV and Primary Infection: A New Threat to At-Risk Individuals, and a New Challenge for Care Providers

The next wave of the HIV epidemic has begun to roll over us. It has already hit the communities at highest risk -- men who have sex with men and intravenous-drug users living in areas where multi-drug antiretroviral therapy is now the standard of car...

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Update: Treatment of HIV-Associated Body-Composition Abnormalities

Cachexia has been seen in individuals with advanced HIV disease since the earliest days of the epidemic. Indeed, weight loss of unexplained origin was a defining symptom of both ARC and frank AIDS during the epidemic's first phase, when we did not kn...

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Personal Stories

Trekking With AIDS, Part 2 -- A Special Report

I need new feet. New boots won't do it: I've been through three pairs in the past five weeks, and I still can't find anything that will hold up to the pace I've set myself -- which is somewhere between 20 and 25 miles a day, depending on the terrain,...